DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Koellner, Polly	DOIID	746686	NAIC NPN	16053637

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Independent Adjuster	Workers' Compensation	9/10/2020		6/30/2026
Active	Non Resident	Independent Adjuster	Property & Casualty	9/10/2020		6/30/2026
Denied	Resident	Staff Adjuster	Property & Casualty
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Independent Adjuster	04/15/2026	06/30/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aig Claims Inc	401148	Independent Adjuster - Property & Casualty	6/8/2017	10/23/2019